الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The timely reperfusion of the culprit vessel improves survival. However, the management and revascularization strategy for stenosis in non- culprit artery is still debated.The purpose of this study was to compare the clinical outcomes of the total revascularization percutaneous coronary intervention (PCI) (Preventive PCI) versus Staged PCI ( culprit artery PCI only in the acute stage and the non-culprit artery PCI in another session during in-hospital stay period or during one month ) in setting of acute ST-segment elevation myocardial infarction (STEMI) with normal systolic function.In this study acute STEMI patients with multi-vessel disease (MVD) were undergone primary PCI between May 2016 and December 2017 were divided into 1-Total revascularization PCI (Non-culprit artery PCI during the index primary procedure) and 2- Staged PCI. Mortality rates and clinical outcomes were compared between the two groups in hospital and during six months after discharge.Total 100 patients had STEMI and multi-vessel-disease, 50 (50%) patients were assigned to preventive PCI and 50 (50%) were assigned to staged PCI. There was no difference in clinical characteristics between the two groups. Although preventive PCI took significantly more, stents (P<0.001), contrast amount (230.4±56.0 Vs 165.20±30 ,p<0.001) and total procedural time (49.10± 12.22 min Vs 41.00± 10.23 min ,p<0.001), compared to Staged PCI, no significant difference in peri-procedural safety outcomes of stroke, major bleeding and CIN rates (12% Vs 3%,p=0.295). There was no benefit on mortality or recurrent MI at six months follow up after discharge.